Organization
SAMY'S DRUG STORE INC.
Active
Organization
SAMY'S DRUG STORE INC.
Active
Parent organization
SAMY'S DRUG STORE INC
Other names
Rochester Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMY'S DRUG STORE INC
Authorized official
SUNIL DULLA (PRESIDENT)
(360) 878-8174
Entity
Organization
Contact information
Practice address
10333 US-12 SW, ROCHESTER, WA 98579
(360) 355-9276
Mailing address
3525 ENSIGN RD NE STE H, OLYMPIA, WA 98506-5065
(360) 878-8174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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